Relevant bibliographies by topics / Sierra Leone. Ministry of Health

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Academic literature on the topic 'Sierra Leone. Ministry of Health'

Author: Grafiati
Published: 4 June 2021
Last updated: 1 February 2022

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Journal articles on the topic "Sierra Leone. Ministry of Health"

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Hannigan, Bernie, Jimmy Whitworth, Miles Carroll, Allen Roberts, Christine Bruce, Thomas Samba, Foday Sahr, and Elizabeth Coates. "The Ministry of Health and Sanitation – Public Health England (MOHS-PHE) Ebola Biobank." Wellcome Open Research 4 (August 1, 2019): 115. http://dx.doi.org/10.12688/wellcomeopenres.15279.1.

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During the Ebola outbreak in 2014-2015 in Sierra Leone, residual clinical specimens and accompanying data were collected from routine diagnostic testing in Public Health England (PHE) led laboratories. Most of the samples with all the accompanying data were transferred to PHE laboratories in the UK for curation by PHE. The remainder have been kept securely in Sierra Leone. The biobank holds approximately 9955 samples of which 1108 tested positive for Ebola virus. Researchers from the UK and overseas, from academia, government other research organisations and commercial companies can submit proposals to the biobank to access and use the samples. The Ministry of Health and Sanitation in Sierra Leone (MOHS) retains ownership of the data and materials and is working with PHE and other researchers to develop and conduct a series of research projects that will inform future healthcare and public health strategies relating to Ebola. The Ebola Biobank Governance Group (EBGG) was established to guarantee equality of access to the biobank for the most scientifically valuable research including by researchers from low and middle-income countries. Ensuring benefit to the people of Sierra Leone is an over-arching principle for decisions of the EBGG. Four ongoing research collaborations are based on the first wave of biobank proposals approved by EBGG. Whilst the biobank is a valuable resource its completeness and sample quality are consistent with the outbreak conditions under which they were collected.
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Hannigan, Bernie, Jimmy Whitworth, Miles Carroll, Allen Roberts, Christine Bruce, Thomas Samba, Foday Sahr, and Elizabeth Coates. "The Ministry of Health and Sanitation, Sierra Leone – Public Health England (MOHS-PHE) Ebola Biobank." Wellcome Open Research 4 (October 30, 2019): 115. http://dx.doi.org/10.12688/wellcomeopenres.15279.2.

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During the Ebola outbreak in 2014-2015 in Sierra Leone, residual clinical specimens and accompanying data were collected from routine diagnostic testing in Public Health England (PHE) led laboratories. Most of the samples with all the accompanying data were transferred to PHE laboratories in the UK for curation by PHE. The remainder have been kept securely in Sierra Leone. The biobank holds approximately 9955 samples of which 1108 tested positive for Ebola virus. Researchers from the UK and overseas, from academia, government other research organisations and commercial companies can submit proposals to the biobank to access and use the samples. The Ministry of Health and Sanitation in Sierra Leone (MOHS) retains ownership of the data and materials and is working with PHE and other researchers to develop and conduct a series of research projects that will inform future healthcare and public health strategies relating to Ebola. The Ebola Biobank Governance Group (EBGG) was established to guarantee equality of access to the biobank for the most scientifically valuable research including by researchers from low and middle-income countries. Ensuring benefit to the people of Sierra Leone is an over-arching principle for decisions of the EBGG. Four ongoing research collaborations are based on the first wave of biobank proposals approved by EBGG. Whilst the biobank is a valuable resource its completeness and sample quality are consistent with the outbreak conditions under which they were collected.
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Kanu, Hossinatu, Kathryn Wilson, Nanah Sesay-Kamara, Sarah Bennett, Shaheen Mehtar, Julie Storr, Benedetta Allegranzi, Hassan Benya, Benjamin Park, and Amy Kolwaite. "Creation of a national infection prevention and control programme in Sierra Leone, 2015." BMJ Global Health 4, no. 3 (May 2019): e001504. http://dx.doi.org/10.1136/bmjgh-2019-001504.

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Prior to the 2014–2016 Ebola epidemic, Sierra Leone’s Ministry of Health and Sanitation had no infection prevention and control programme. High rates of Ebola virus disease transmission in healthcare facilities underscored the need for infection prevention and control in the healthcare system. The Ministry of Health and Sanitation led an effort among international partners to rapidly stand up a national infection prevention and control programme to decrease Ebola transmission in healthcare facilities and strengthen healthcare safety and quality. Leadership and ownership by the Ministry of Health and Sanitation was the catalyst for development of the programme, including the presence of an infection prevention and control champion within the ministry. A national policy and guidelines were drafted and approved to outline organisation and standards for the programme. Infection prevention and control focal persons were identified and embedded at public hospitals to manage implementation. The Ministry of Health and Sanitation and international partners initiated training for new infection prevention and control focal persons and committees. Monitoring systems to track infection prevention and control implementation were also established. This is a novel example of rapid development of a national infection prevention and control programme under challenging conditions. The approach to rapidly develop a national infection prevention and control programme in Sierra Leone may provide useful lessons for other programmes in countries or contexts starting from a low baseline for infection prevention and control.
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Fayiah, M. "Uncertainties and trends in the forest policy framework in Sierra Leone: an overview of forest sustainability challenges in the post-independence era." International Forestry Review 23, no. 2 (June 1, 2021): 139–50. http://dx.doi.org/10.1505/146554821832952744.

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Sierr a Leone is part of the Upper Guinean Forests with a climate that enhances great floral biodiversity. The exploitation of forest resources in Sierra Leone has seen a steady increase over the years while the establishment of forest plantations has witnessed a drastic decline. The relationship between forest exploitation and plantation forest decline is broadly assumed to be influenced by population growth, weak forest policies, legislatures, forest management and monitoring policies over the past century. The paper examines forests status and forest resources policy evolution since the pre-colonial era but pays particular attention to policies developed from 1988, in the post-colonial era, and the challenges facing their implementation. The paper highlights major challenges facing the healthy and sustainable growth of forest resources in Sierra Leone. The challenges range from the attachment of the Forestry Division to the Ministry of Agriculture, Forestry and Food Security (MAFFS), the overlap in ministerial mandates about forest protection, corrupt government officials, poverty, illegal logging, inadequate funding and staff, natural disaster and outdated forestry instruments. Natural factors such as climate change, drought, and landslides are considered among the issues affecting the sustainable expansion of forest resources in Sierra Leone. A flowchart of forest sustainability challenges in Sierra Leone was designed, and classified forest challenges into natural and man-made causes. The inability of the Forestry Division to become an independent body and the continued reliance of the Division on the 1988 Forestry Act to make informed decisions in the 21st century is serving as a major barrier in sustaining forests resources in Sierra Leone. Improving forest management in the country requires the collective efforts of both national and international forests protections entities and organizations. Sound forests conservation policies and adequate funding and staffing can strengthen the Forestry Division in enforcing its constitutional mandates. Adopting the best practices models from countries such as China, India and the USA will help towards the goal of managing forest resources sustainably for current and future generations.
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Squire, James Sylvester, Katrina Hann, Olga Denisiuk, and Rony Zachariah. "Staffing in public health facilities after the Ebola outbreak in rural Sierra Leone: How much has changed?" F1000Research 8 (June 6, 2019): 793. http://dx.doi.org/10.12688/f1000research.18566.1.

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Background: The 2014-2015 Ebola outbreak in Sierra Leone led the Ministry of Health and Sanitation to set minimum standards of staffing (medical/non-medical) at the district level for the provision of basic essential health services (BPEHS). In one of the worst Ebola affected districts in Sierra Leone, we assessed staffing levels measured against these stipulated standards before, during, and 16 months after the Ebola outbreak. Methods: The study population included all health workers in 83 health facilities. We assessed staffing levels at three points in time: pre-Ebola (April 2014); the end of the outbreak (November 2015); and 16 months post-Ebola (March 2017). April 2014 was immediately prior to the Ebola outbreak and thus representative of the human resource situation before the outbreak. November 2015 was the month when Sierra Leone was declared Ebola-free, and thus reflects the end-situation after Ebola. March 2017 was two years since the launch of the BPEHS, and some progress should be expected. Results: Against recommended medical staff numbers during pre-, intra- and post-Ebola periods, deficits were 67%, 65% and 60% respectively. Similarly, against recommended non-medical staff numbers during pre-, intra- and post-Ebola periods, the deficit remained at 92% throughout. In the post-Ebola period, there was a deficit of 73% against 1,389 recommended health worker positions. Conclusions: Nothing has really changed in the state of human resources for health, and urgent measures are needed to rectify the situation and prevent a déjà vu in the advent of a new Ebola outbreak.
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Squire, James Sylvester, Katrina Hann, Olga Denisiuk, and Rony Zachariah. "Staffing in public health facilities after the Ebola outbreak in rural Sierra Leone: How much has changed?" F1000Research 8 (January 9, 2020): 793. http://dx.doi.org/10.12688/f1000research.18566.2.

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Background: The 2014-2015 Ebola outbreak in Sierra Leone led the Ministry of Health and Sanitation to set minimum standards of staffing (medical/non-medical) at the district level for the provision of basic essential health services (BPEHS). In one of the worst Ebola affected districts in Sierra Leone, we assessed staffing levels measured against these stipulated standards before, during, and 16 months after the Ebola outbreak. Methods: The study population included all health workers in 83 health facilities. We assessed staffing levels at three points in time: pre-Ebola (April 2014); the end of the outbreak (November 2015); and 16 months post-Ebola (March 2017). April 2014 was immediately prior to the Ebola outbreak and thus representative of the human resource situation before the outbreak. November 2015 was the month when Sierra Leone was declared Ebola-free, and thus reflects the end-situation after Ebola. March 2017 was two years since the launch of the BPEHS, and some progress should be expected. Results: Against recommended medical staff numbers during pre-, intra- and post-Ebola periods, deficits were 67%, 65% and 60% respectively. Similarly, against recommended non-medical staff numbers during pre-, intra- and post-Ebola periods, the deficit remained at 92% throughout. In the post-Ebola period, there was a deficit of 73% against 1,389 recommended health worker positions. Conclusions: Nothing has really changed in the state of human resources for health, and urgent measures are needed to rectify the situation and prevent a déjà vu in the advent of a new Ebola outbreak.
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Decosas, Josef. "Planning for Primary Health Care: The Case of the Sierra Leone National Action Plan." International Journal of Health Services 20, no. 1 (January 1990): 167–77. http://dx.doi.org/10.2190/y5pr-a1bq-lmrq-plgk.

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The National Action Plan for Primary Health Care, a planning document of the Sierra Leonean Ministry of Health for the restructuring of the country's rural health services, is analyzed in its social, economic, and historical context. It appears to be an attempt of the national government to gain control over the highly devolved health care delivery system, but the state has neither the political will nor the power to achieve this goal. The utility of the document is therefore in doubt, which raises two important questions: Whose interests does this plan serve, and at whose cost?
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Musoke, Robert, Alexander Chimbaru, Amara Jambai, Charles Njuguna, Janet Kayita, James Bunn, Anderson Latt, et al. "A Public Health Response to a Mudslide in Freetown, Sierra Leone, 2017: Lessons Learnt." Disaster Medicine and Public Health Preparedness 14, no. 2 (August 19, 2019): 256–64. http://dx.doi.org/10.1017/dmp.2019.53.

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ABSTRACTOn August 14, 2017, a 6-kilometer mudslide occurred in Regent Area, Western Area District of Sierra Leone following a torrential downpour that lasted 3 days. More than 300 houses along River Juba were submerged; 1141 people were reported dead or missing and 5905 displaced. In response to the mudslide, the World Health Organization (WHO) Country Office in Sierra Leone moved swiftly to verify the emergency and constitute an incident management team to coordinate the response. Early contact was made with the Ministry of Health and Sanitation and health sector partners. A Public Health Emergency Operations Center was set up to coordinate the response. Joint assessments, planning, and response among health sector partners ensured effectiveness and efficiency. Oral cholera vaccination was administered to high-risk populations to prevent a cholera outbreak. Surveillance for 4 waterborne diseases was enhanced through daily reporting from 9 health facilities serving the affected population. Performance standards from the WHO Emergency Response Framework were used to monitor the emergency response. An assessment of the country’s performance showed that the country’s response was well executed. To improve future response, we recommend enhanced district level preparedness, update of disaster response protocols, and pre-disaster mapping of health sector partners.
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Lumicao, Paulo Jose. "The Ebola Outbreak inthe DRC." Ethics & Medics 44, no. 10 (2019): 3–4. http://dx.doi.org/10.5840/em2019441015.

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A recent outbreak of Ebola starting in August 2018 has spread rapidly in North Kivu and Ituri, north-eastern provinces of the Democratic Republic of the Congo (DRC). This is the tenth outbreak in forty years. Nevertheless, Tedros Ghebreyesus, the director-general of the World Health Organization (WHO), recently stated that the outbreak is not yet a “public health emergency of inter- national concern.” Declaring such an emergency would trigger “a response across the United Nations, mobilizing multiple agencies, funding, and personnel . . . the sort of global response that belatedly resolved the [Ebola] epidemics in Liberia, Sierra Leone, and Guinea in 2014 and 2015.” Instead, the WHO and its partners are working with the DRC Ministry of Health to mount a more local response.
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Weiss, Jamine, Amy Kolwaite, Meghan Lyman, Getachew Kassa, Miriam Rabkin, Anna Maruta, Marita Murrman, Hassan Benya, and Christiana Conteh. "The Design and Implementation of an IPC Certificate Course: Experiences From Sierra Leone." Infection Control & Hospital Epidemiology 41, S1 (October 2020): s498. http://dx.doi.org/10.1017/ice.2020.1177.

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Background: Trained infection prevention and control (IPC) practitioners are critical to reducing healthcare-associated infections (HAI) and improving patient safety. Despite having HAI rates 3 times higher than high-income countries, many low- and middle-income countries (LMICs) lack trained IPC professionals. During the 2014–2016 Ebola outbreak in West Africa, the Sierra Leone Ministry of Health and Sanitation (MoHS) recognized this need and appointed and trained IPC focal persons at all district hospitals. Following the outbreak, MoHS requested assistance from the US CDC to develop and implement a comprehensive IPC training program for IPC specialists. Methods: The CDC, alongside its partners, convened a multidisciplinary team to develop an IPC certificate course. ICAP led the curriculum development process using a “backwards design” approach, starting with development of competencies and learning objectives, then designing an evaluation framework and learning strategies, and finally, identifying course content. The curriculum was based on existing resources, primarily designed for high-income countries, which were adapted to the Sierra Leone context and aligned with national IPC policies and guidelines. Additionally, an IPC steering committee, led by MoHS, was established to provide national leadership and oversight and make country-level decisions regarding accreditation and career pathways for IPC specialists. Results: The course includes three 2-week workshops over 6 months consisting of classroom didactics and hands-on activities. Topics include standard and transmission-based precautions, microbiology, laboratory, HAI, quality improvement, leadership, and scientific writing. Between sessions, participants conduct IPC activities at their work site and share results during subsequent workshops. Participants receive electronic tablets, which contain course content, assessment tools, and references, to upload their work into a cloud-based storage system for facilitators to provide feedback. They also receive in-person mentorship and connect with peers through a group messaging platform to share lessons learned. Participants’ knowledge and skills are assessed using a before-and-after test and observing them perform IPC practices using standardized checklists. The first cohort of 25 participants will complete the course in November 2019. Conclusions: The IPC certificate course is the first comprehensive, competency-based IPC training in Sierra Leone. Successes, challenges, sustainability, and lessons learned remain to be determined; however, based on similar models, the course has the potential to significantly improve IPC in Sierra Leone. Additionally, it is a model that can be replicated in other resource-limited settings.Funding: NoneDisclosure:None
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Dissertations / Theses on the topic "Sierra Leone. Ministry of Health"

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Chege, Eunice Nyambura. "Geographic Variations in Antenatal Care Services in Sierra Leone." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5062.

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Despite antenatal care presenting opportunities to identify and monitor women at risk, use of recommended antenatal care services remains. Barriers preventing use of antenatal services vary between countries, and limited knowledge exists about the link between geographical settings and antenatal service use. The objective of this cross-sectional quantitative study was to explore geographical variations and investigate how social demographic characteristics affect use of antenatal care for women in Sierra Leone using the Andersen behavioral model. The data used were from the 2016 maternal death surveillance report of the whole counrty (N =706). Logistic regression analysis was used to determine the individual predictor effects on antenatal care, including geographical location, the age of women, marital status, parity, and institution of birth impact. Southern, Northern, and Eastern women had significantly lower odds of attending the recommended antenatal services compared to women in the Western region (OR = .517, p = .019; OR = .497, p = .021; OR = 0.014, p = .041, respectively). The odds of married women attending the recommended antenatal services was 7.3 times more than that of the single women (OR = 7.397). Also, significantly associated with less uptake of recommended antenatal visits was lower education level among women (OR = .517). This study will contribute to positive social change by highlighting inequities in antenatal care use among women, thus allowing for accurate targeting of health promotion programs and ultimately saving lives of mothers and children of Sierra Leone through more inclusive policies.
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Bertone, M. P. "Exploring the complex remuneration of health workers in Sierra Leone." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2017. http://researchonline.lshtm.ac.uk/3482692/.

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The financial remuneration of health workers (HWs) is a key concern to address human resources challenges in many low-income countries. Analyzing the entire set of payments available to HWs is critical to understand the incentives they face, their motivation and performance, and ultimately to devise effective health workforce reforms. In this thesis, I investigate these issues by exploring the complex remuneration of HWs in Sierra Leone, defined as all income sources, both formal (salary, allowances, performance bonus) and informal (per diems, top-ups, private practice, nonhealth activities and illegal incomes). The study adopts a mixed-method approach. At central level, 23 key informants were conducted along with a stakeholder mapping workshop and a documentary review. At district level, 18 key informants were interviewed. Quantitative data were collected through a cross-sectional survey of 266 public HWs at primary healthcare level in three districts. Additionally, HWs were given a logbook to daily record their activities and incomes. Quantitative data at individual level were complemented with 39 in-depth interviews with a sub-sample of the same HWs. The analysis carried out in this thesis, first, sets the background to the complex remuneration by describing the incentive environment available to HWs as it developed during the post-conflict period, through policy-making processes at macro (central) level. It then investigates how the political economy dynamics between District Health Teams and NGOs at meso (district) level contribute to re-shape the incentive package. Moving to the micro (HW) level, I estimate the absolute and relative contribution of each income and I find that, while earnings from salary represent the largest share, HWs’ income is fragmented and composed of a variety of payments. Further data analysis shows that the determinants of the incomes are not in line with policies defined at national level and are influenced by the district of posting. Furthermore, the HWs’ narratives reveal the relevance of the features of each of their incomes (e.g., amount, regularity, reliability, ease of access, etc.) and the income use strategies through which HWs ‘manage’. Finally, I investigate whether the complex remuneration affects what HWs do or if there are other factors which constrain and/or influence HWs’ activities and service delivery. Findings from this research have important implications for how we go about (re)thinking financial incentive strategies. HWs’ income comes from a variety of sources, which they use differently. This questions the assumption of the fungibility of payments and highlights the potential consequences of increasing one rather than another of HWs’ incomes. Moreover, it is shown that the alignment of policies and incentive packages at central level may not be sufficient as dynamics at district level play a key role in influencing both HWs’ incomes as well as the activities they perform, thus effectively modifying incentive package and service delivery. From a methodological perspective, this thesis contributes to developing data collection and analysis techniques on the complex remuneration of HWs, which are relevant for a potential cross-country research agenda.
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Kanu, Alhassan Fouard. "Health System Access to Maternal and Child Health Services in Sierra Leone." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7394.

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The robustness and responsiveness of a country's health system predict access to a range of health services, including maternal and child health (MCH) services. The purpose of this cross-sectional study was to examine the influence of 5 health system characteristics on access to MCH services in Sierra Leone. This study was guided by Bryce, Victora, Boerma, Peters, and Black's framework for evaluating the scaleup to millennium development goals for maternal and child survival. The study was a secondary analysis of the Sierra Leone 2017 Service Availability and Readiness Assessment dataset, which comprised 100% (1, 284) of the country's health facilities. Data analysis included bivariate and multivariate logistic regressions. In the bivariate analysis, all the independent variables showed statistically significant association with access to MCH services and achieved a p-value < .001. In the multivariate analysis; however, only 3 predictors explained 38% of the variance (R� = .380, F (5, 1263) = 154.667, p <.001). The type of health provider significantly predicted access to MCH services (β =.549, p <.001), as did the availability of essential medicines (β= .255, p <.001) and the availability of basic equipment (β= .258, p <.001). According to the study findings, the availability of the right mix of health providers, essential medicines, and basic equipment significantly influenced access to MCH services, regardless of the level and type of health facility. The findings of this study might contribute to positive social change by helping the authorities of the Sierra Leone health sector to identify critical health system considerations for increased access to MCH services and improved maternal and child health outcomes.
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Samba, Sheku. "Obstetric Fistula| The Experiences of Patients and Medical Personnel in Sierra Leone." Thesis, Walden University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10636481.

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Women face great risks in pregnancy and childbirth, especially in developing countries where there are very few skilled birth attendants and negligible government investments in maternal health programs. As a result, obstetric fistula (OF), a potentially fatal but preventable and treatable condition, affects some 3 million women and girls globally. In Sierra Leone, the prevalence of OF is extremely high, but the absence of quality data to inform decision-making, both on prevalence and risk factors, is a barrier to creating an environment for OF prevention and care. The purpose of this phenomenological study was to explore and document the barriers to medical care, and the perceptions of patients and medical personnel concerning the complexities of OF. In-depth interviews were performed over a 2-month period with 12 patients and 8 medical personnel at the Aberdeen Women's Center in Freetown, Sierra Leone. Results showed that patients face multiple medical barriers including high costs, fear of hospital treatment, severely inadequate treatment, and severe physical sequelae including paralysis and foot dragging. Multiple emotional, social, and financial harms related to OF were also reported, including stigmatization, abandonment by family, embitterment, depression, and job loss. Most patients expressed a preference for traditional birth assistants over medical personnel. However, many also benefitted from the intervention of friends or other good Samaritans. The results and recommendations from this study should be helpful in informing the general public and policy-makers about OF as a major public health problem, and in the design and delivery of programs to eradicate or alleviate the problem of OF in Sierra Leone.

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Samura, Salifu Salito. "The Impact of Free Healthcare on Hospital Deliveries in Sierra Leone." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2334.

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Improving maternal health has been a challenge for developing nations with very high rates of maternal mortality. Sub-Saharan Africa, particularly Sierra Leone, has some of the highest maternal mortality rates in the world. In an attempt to improve on this, the Sierra Leonean government enacted free maternal healthcare services in 2010. The Sierra Leone Free Healthcare Initiative (SLFHCI) provides free healthcare for pregnant women, lactating mothers, and children under 5 years old. This research explored the impact of the free healthcare on hospital deliveries. The determinant of health model was used to evaluate the effectiveness of the SLFHCI program, and a quantitative study design was used to analyze 1,200 samples of secondary data. Five research questions aimed to determine how the pre and postimplementation periods of the SLFHCI program impacted the rate of antenatal services usage, hospital deliveries, low birth weight deliveries, very low birth weight deliveries, and preterm deliveries. Descriptive statistics, chi-square tests, and logistic regression were used to analyze data. The results indicated improvements in antenatal visits, hospital deliveries, low birth weight deliveries, and preterm deliveries after adjusting for covariates. The results suggest that the SLFCHI program is an effective strategy for preventing low birth weight and preterm deliveries and for improving antenatal visits and hospital deliveries. The knowledge gained from this research could provide a roadmap for improving overall maternal care in Sierra Leone and other affected countries. Strategies to improve the quality of the SLFHCI intervention are worthy of further investigation
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Fendt-Newlin, Meredith Leah. "Enhancing mental health practice in Sierra Leone : a social intervention development study." Thesis, University of York, 2018. http://etheses.whiterose.ac.uk/20671/.

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Inadequacy in mental health care in low and middle-income countries has been an important contributor to the rising global burden of disease. The evidence base is building for innovative solutions to reduce the mental health treatment gap. However, what has largely been missing is the development of interventions which incorporate the nature of the social environment that contributes to the risk, cause, and maintenance of mental health conditions. This thesis aimed to explore the potential for social interventions to reduce the mental health treatment gap (greater than 95%) and the burden on resource-poor services in Sierra Leone. This thesis presents a methodological framework for social intervention development in low-resource settings. First, a feasibility and acceptability study examined stakeholder perceptions (n=59) using rapid ethnographic methods. Second, the evidence base and feasibility findings were modelled and validated in focus groups with Sierra Leone stakeholders (n=9) and members of the United Kingdom the Diaspora community (n=5). Third, a pilot study assessed the impact of the adapted intervention on district level mental health nurses’ knowledge, skills, attitudes, and behaviour (n=20) using qualitative data and a training evaluation tool developed co-productively with stakeholders. The intervention model endured several iterations as the context in the country changed due to the Ebola outbreak. The pilot study showed post-training improvement of skills in communicating and building relationships with service users, identifying assets and linking to community resources. Barriers to embed the model into nurse practice were identified such as stigma, reluctance to change from district health managers and policy makers, and significant financial and time constraints. This study suggests that it is important to harness local understanding of mental health conditions, build capacity of the existing workforce and enhance community engagement with services for mental health social intervention strategies to be effective.
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Sesay, Mohamed Lamin. "Patient Characteristics and Treatment Outcomes Among Tuberculosis Patients in Sierra Leone." Thesis, Walden University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10269501.

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Despite decades of the implementation of the directly observed therapy short-course (DOTS), Sierra Leone is ranked among the 30 highest TB-burdened countries. Several factors account for unfavorable treatment outcomes, among which are patient characteristics. Previous studies have only focused on treatment compliance without any consideration for the factors that lead to noncompliance to treatment. The purpose of this study was to investigate patient characteristics that are associated with treatment noncompliance (treatment not completed) among TB patients undergoing the DOTS program in Sierra Leone. A retrospective longitudinal quantitative design was used to analyze secondary data from the completed records of 1,633 TB patients, using the Andersen’s behavioral model of health services utilization as a theoretical framework work. Descriptive statistics and bivariate and multivariate logistic regressions were used to analyze the data. The results show that there was no significant association between treatment completion and age, gender, and TB-case category. On the other hand, being HIV-positive decreases the odds of treatment completion. Also, the educational level, geographic location, and year of treatment were significantly associated with treatment completion. Overall, program performance improved as the number of dropouts decreased significantly between 2013 and 2015. The social change implication of this study was that it identified HIV-positive patients and rural communities as areas needing specific attention such as the assignment of case managers to ensure compliance thereby improve DOTS program performance, thereby reducing the incidence and transmission of TB.

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Davids, Saarah Fatoma Gadija. "The correlation between the serious diseases affecting child mortality in Sierra Leone." University of the Western Cape, 2011. http://hdl.handle.net/11394/5364.

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Magister Philosophiae - MPhil
Child mortality in Sierra Leone is the highest ranked in the world. Government officials and researchers have tried to understand how and why this has become such a big phenomenon in Sierra Leone. Researchers have come up with three main causes for child mortality in Sierra Leone: maternal factors, environmental factors and health factors. The majority of research has been carried out on maternal, as well as environmental factors. However, minimal research has been carried out on health factors in Sierra Leone. Therefore, the objective of this study is to see how maternal and environmental factors have an effect on health factors, which in turn causes child mortality. The data used was from the 2008 Sierra Leone Demographic and Household Survey (SLDHS). The child dataset was used as it contained the information required from both the mother and the child. Of the three categories that were used, the first was maternal factors, which included the mother’s age, the mother's occupation, the mother's education, the sex of the child, the birth number and religion. The second category was environmental factors, which included the source of water, type of toilet, place of residence, source of energy and the dwelling material used for the household. The final category was health factors, which included whether the child had a fever in the last 2 weeks, short rapid breaths, a cough or fever, a problem in the chest or runny nose and whether the child had Diarrhoea recently and still has Diarrhoea. The study showed that child mortality had four statistically significant factors associated with it: place of residence, birth number, religion and type of toilet facility. Furthermore, when it came to diseases affecting children, the SLDHS had not given much information, so we looked only at the effects it had on children. From our results, we concluded that ARI, Diarrhoea and Measles each had one variable that was statistically significant to it. As for Pneumonia, there were no variables associated with children contracting the disease.
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Tsawe, Mluleki. "Inequalities in the use of maternal and reproductive health services in Sierra Leone." University of the Western Cape, 2019. http://hdl.handle.net/11394/6660.

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Philosophiae Doctor - PhD
This thesis extends the literature on the trends and magnitude of health inequalities in the area of maternal and reproductive health services in Sierra Leone, and particular across sub-Saharan Africa. It attempted to provide a good understanding of, not only the determinants of maternal and reproductive healthcare use, but also factors that enable health inequalities to exist in Sierra Leone. This is an appropriate topic in population health studies as it aims to address important questions on the research agenda in the context of sub-Saharan Africa, particularly in a country with poor health outcomes such as Sierra Leone. A proper understanding of not only the coverage rates of population health outcomes but also the extent of health inequalities as well as the factors that contribute to these inequalities is crucial for any government. The thesis applied various techniques in the analysis of DHS data (from 2008 and 2013 rounds) in an attempt to answer the research questions.
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Fabricant, Stephen Joel. "Community financing in Sierra Leone : affordability and equity of primary health care costs." Thesis, London School of Hygiene and Tropical Medicine (University of London), 1992. http://researchonline.lshtm.ac.uk/682247/.

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Critics of user charges for government primary health care have focussed on the deterrent effect these charges might have on the poor, but there is little convincing empirical evidence that supports or contradicts these claims. The main research aims were to assess the equity effects of user charges for curative PHC services on households in 2 rural districts of Sierra Leone, a country that has suffered severe economic hardship in the last decade. Secondary objectives were to assess the feasibility of using objective means-testing to identify patients for exemption, and to recoimiend a simple methodology for acquiring the same information for local, operational purposes. A survey of 1156 households was carried out in the dry post-harvest season, and covered a range of household economic factors in addition to the actions taken in response to all reported illness episodes. A followup survey was made the following rainy season to assess seasonal effects. Supplementary information was obtained through focus groups and case studies. The data were analyzed within the framework of a conceptual model which assumed that preferences, access, and ability to pay were the main factors (or groups of factors) that determined which of several medical and non-medical treatment options would be used. Multiple regression models were used to assess the effects of each group of factors. The main findings were that, while wealthier households used cheap market drugs and expensive medical treatment options more than the poor, there was little difference in use of medium-priced PHC treatment. Household wealth and income factors correlated weakly with amounts actually paid for treatment. The immediate availability of money in the household appeared to be the economic factor most affecting utilization, with wealthier households nearly as likely = to have the amounts needed for PHC treatment on hand as poorer ones. Distance was a much more important determinant of choice of treatment than was income or assets, as were certain preference factors. However, the poor spent a much higher proportion of household income on treatment than the wealthy, so a way of limiting total expenditures for the poor would be more important than limiting their deterrence. Several readily-ascertained household factors correlated well with household income, but means-testing was concluded to be an inefficient way to accomplish the objective of selectively limiting expenditures unless incorporated into a prepayment scheme.
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Books on the topic "Sierra Leone. Ministry of Health"

1

Sierra Leone. Statistics Sierra Leone. Sierra Leone demographic and health survey, 2008. Freetown: SSL, 2008.

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Siegel, Bruce. Health reform in Africa: Lessons from Sierra Leone. Washington, D.C: World Bank, 1996.

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Toubia, Nahid. Doing more with less: The Marie Stopes Clinics in Sierra Leone. New York, N.Y: The Population Council, 1995.

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Herschderfer, Kathy. Barriers and promising interventions for improving maternal and newborn health in Sierra Leone. Amsterdam: Kit Publishers, 2012.

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Mental and social disorder in Sub-Saharan Africa: The case of Sierra Leone, 1787-1990. New York: Greenwood Press, 1991.

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Leone, Statistics Sierra. Report of the Sierra Leone General Population HIV/AIDS BSS Survey 2004: Submitted to the National AIDS Secretariat (NAS). Sierra Leone: Statistics Sierra Leone, 2005.

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Benton, Adia. HIV Exceptionalism: Development Through Disease in Sierra Leone. University of Minnesota Press, 2015.

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Benton, Adia. HIV Exceptionalism: Development Through Disease in Sierra Leone. University of Minnesota Press, 2015.

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Sierra Leone. Ministry of Trade and Industry., ed. Status report on activities of the Ministry of Trade and Industry, Sierra Leone. [Freetown?: s.n., 2007.

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Williams, Burney N. Adebola. The golden heritage of Africa: Sierra Leone. [Maryland : Afrifolks, c1997], 1997.

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Book chapters on the topic "Sierra Leone. Ministry of Health"

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Stewart, Corinna, Beate Ebert, and Hannah Bockarie. "commit and act in Sierra Leone." In The Palgrave Handbook of Sociocultural Perspectives on Global Mental Health, 657–78. London: Palgrave Macmillan UK, 2017. http://dx.doi.org/10.1057/978-1-137-39510-8_31.

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Syed, Shamsuzzoha B. "West Africa (Guinea, Liberia, and Sierra Leone)." In Health Systems Improvement Across the Globe, 117–22. London: Taylor & Francis, 2017. http://dx.doi.org/10.1201/9781315586359-18.

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Lahai, John Idriss. "The Aftermath: The Proposed Pathway to Public Health Recovery: 2015–2020." In The Ebola Pandemic in Sierra Leone, 111–28. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-45904-2_5.

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Schwartz, David A. "The Ebola Epidemic Halted Female Genital Cutting in Sierra Leone: Temporarily." In Global Maternal and Child Health, 457–67. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-97637-2_30.

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M’Cormack-Hale, Fredline A. O., and Fredanna M’Cormack McGough. "Promises and Pitfalls of the Free Health Care Initiative in Sierra Leone: An Early Analysis." In Democratization and Human Security in Postwar Sierra Leone, 199–215. New York: Palgrave Macmillan US, 2016. http://dx.doi.org/10.1057/9781137486745_10.

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Minor, Olive Melissa. "Ebola and Accusation: How Gender and Stigmatization Prolonged the Epidemic in Sierra Leone." In Global Maternal and Child Health, 437–47. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-97637-2_28.

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Kamara, Mohamed Hajidu. "Ebola in Rural Sierra Leone: Its Effect on the Childhood Malnutrition Programme in Tonkolili District." In Global Maternal and Child Health, 449–55. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-97637-2_29.

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Dynes, Michelle M., Laura Miller, Tamba Sam, Mohamad Alex Vandi, Barbara Tomczyk, and John T. Redd. "The Services and Sacrifices of the Ebola Epidemic’s Frontline Healthcare Workers in Kenema District, Sierra Leone." In Global Maternal and Child Health, 313–28. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-97637-2_21.

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Lipton, Jonah. "Taking Life ‘Off Hold’: Pregnancy and Family Formation During the Ebola Crisis in Freetown, Sierra Leone." In Global Maternal and Child Health, 329–37. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-97637-2_22.

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Dorwie, Florence M. "Case Study: Cross-Cultural Leadership for Maternal and Child Health Promotion in Sierra Leone." In Global Applications of Culturally Competent Health Care: Guidelines for Practice, 323–27. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-69332-3_37.

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Conference papers on the topic "Sierra Leone. Ministry of Health"

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Hebert, Emma, William Ferguson, Spencer McCullough, Margaret Chan, Arsen Drobakha, Sarah Ritter, and Khanjan Mehta. "mBody health: Digitizing disabilities in Sierra Leone." In 2016 IEEE Global Humanitarian Technology Conference (GHTC). IEEE, 2016. http://dx.doi.org/10.1109/ghtc.2016.7857357.

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Saebo, Johan, Edem Kwame Kossi, Romain Tohouri Golly-Kobrissa, Ola Titlestad, and Jorn Braa. "Integrating health information systems in Sierra Leone." In 2009 International Conference on Information and Communication Technologies and Development (ICTD 2009). IEEE, 2009. http://dx.doi.org/10.1109/ictd.2009.5426691.

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Lujan, Maren. "O2 ‘Free health/free die’: investigating women’s health in post-ebola rural sierra leone." In Crafting the future of qualitative health research in a changing world abstracts. British Medical Journal Publishing Group, 2019. http://dx.doi.org/10.1136/bmjopen-2019-qhrn.2.

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Tohouri, Romain-Rolland, Ime Asangansi, Ola Hodne Titlestad, and Jorn Braa. "The Change Strategy towards an Integrated Health Information Infrastructure: Lessons from Sierra Leone." In 2010 43rd Hawaii International Conference on System Sciences. IEEE, 2010. http://dx.doi.org/10.1109/hicss.2010.367.

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Finch, J., L. Benton, P. Winyard, H. Bedford, and V. Palit. "G284(P) A retrospective study investigating malnutrition in hiv positive children in sierra leone." In Royal College of Paediatrics and Child Health, Abstracts of the Annual Conference, 13–15 March 2018, SEC, Glasgow, Children First – Ethics, Morality and Advocacy in Childhood, The Journal of the Royal College of Paediatrics and Child Health. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2018. http://dx.doi.org/10.1136/archdischild-2018-rcpch.276.

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Gabbott, L. "G442(P) Severe acute malnutrition training: addressing a skills deficit in northern sierra leone." In Royal College of Paediatrics and Child Health, Abstracts of the RCPCH Conference and exhibition, 13–15 May 2019, ICC, Birmingham, Paediatrics: pathways to a brighter future. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2019. http://dx.doi.org/10.1136/archdischild-2019-rcpch.427.

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Blakey, S. "G448(P) Quality of care data collection in sierra leone – importance of narrative and context." In Royal College of Paediatrics and Child Health, Abstracts of the RCPCH Conference–Online, 25 September 2020–13 November 2020. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2020. http://dx.doi.org/10.1136/archdischild-2020-rcpch.386.

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Wolman, Jordan, Naakesh Gomanie, Cassidy Drost, Sage Herrick, Zachary Day, Rohan Ekambaram, and Khanjan Mehta. "A case study on integrating a diagnostic medical device into the health care system of Sierra Leone." In 2019 IEEE Global Humanitarian Technology Conference (GHTC). IEEE, 2019. http://dx.doi.org/10.1109/ghtc46095.2019.9033120.

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Zahari, A., T. Oliver, N. Kennedy, R. Emeric, P. Turay, V. Sawicki, P. Chahal, and P. Chahal. "G450(P) Short term global health project: a pilot scheme in sierra leone to enhance trainee development." In Royal College of Paediatrics and Child Health, Abstracts of the RCPCH Conference–Online, 25 September 2020–13 November 2020. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2020. http://dx.doi.org/10.1136/archdischild-2020-rcpch.388.

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Turay, MP, and H. Bedford. "G291(P) Caustic soda ingestion in children admitted to a community hospital in sierra leone: a study of the health impacts." In Royal College of Paediatrics and Child Health, Abstracts of the RCPCH Conference and exhibition, 13–15 May 2019, ICC, Birmingham, Paediatrics: pathways to a brighter future. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2019. http://dx.doi.org/10.1136/archdischild-2019-rcpch.283.

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Reports on the topic "Sierra Leone. Ministry of Health"

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Christensen, Darin, Oeindrila Dube, Johannes Haushofer, Bilal Siddiqi, and Maarten Voors. Building Resilient Health Systems: Experimental Evidence from Sierra Leone and the 2014 Ebola Outbreak. Cambridge, MA: National Bureau of Economic Research, June 2020. http://dx.doi.org/10.3386/w27364.

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Pinheiro, Yetunde A., Zhuzhi Moore, and David Gathara. Associations between FGM/C and HIV in Ethiopia, the Gambia, Kenya, and Sierra Leone: A limited analysis of Demographic and Health Survey data. Population Council, 2019. http://dx.doi.org/10.31899/rh11.1022.

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Transferring Ghana's system of evidence-based health program development: Program for an initial exchange with Sierra Leone and Burkina Faso. Population Council, 2005. http://dx.doi.org/10.31899/rh4.1110.

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